Distributor Information Request

All fields required.

Broker Details

Broker name

Contact name

Position

Date of Completion

Email

Telephone

Product Governance

Fair Value Assessments
Do you review the Manufacturer’s Product Governance / Fair Value Assessments for all of the markets that you use on an annual basis?  
YesNo

Air Risk Solutions Fair Value Assessments
Have you specifically  reviewed the Air Risk Solutions Product Governance / Fair Value Assessments and are you satisfied that you are selling these products to the Target Market for which it is designed?       
YesNo

Fee review
Have you conducted a review of your fees to ensure that they are proportionate and fair when compared to the extent and added value of your services?
YesNo

Commercial Lines Fees
Please select the average fee charged to Commercial Lines customers
None£1-25£26-50£51-75£76-100£101-150£151-200£201-249£250+

Please select the maximum fee charges the maximum fee charged to Commercial Lines customers
None£1-25£26-50£51-75£76-100£101-150£151-200£201-249£250+

Premium Finance
Do you retail premium finance to your customers?
YesNo

Premium Finance review
Have you conducted a review of your premium finance arrangements to evidence that they offer fair value to your customers?
YesNo

Ancillary Products
Do you sell ancillary products alongside our insurance products?
YesNo

Ancillary Product Review
Have you conducted a review of your Ancillary Products to evidence that they offer fair value to your customers?
YesNo

Other Charges
Do you add any charges for your products other than fees?
YesNo

Discounting
Have you discounted your commission on more than 25% of our products (policy count) in the last 12 months?
YesNo

Tenure
Are there any circumstances in which you may have different charging arrangements for different customer tenures? (New Customers v renewing Customers)
YesNo

Affirmation of Value
Are you satisfied that the remuneration your company receives does not result in our products ceasing to provide fair value for our customers?
YesNo

Affirmation of Proportionality
Are you satisfied that the remuneration your company receives bears a reasonable relationship to the actual costs of your contribution/level of involvement or added benefit provided to the customer?
YesNo

Affirmation of customer best interests
Are you satisfied that your business always acts in the best interests of its customers?
YesNo

Consumer Duty

Consumer Duty Review
Have you reviewed all of your current systems/ procedures and documentation and are you satisfied that you can comply with the new Consumer Duty Rules?
YesNo

Vulnerable Customer Training
Have all staff receiving training on how to identify and support vulnerable customers? 
YesNo

Vulnerable Customer Monitoring and Reporting
Do you record customer vulnerability on your system, and are you able to run relevant MI in relation to vulnerable customers?
YesNo